• HEDIS Overreader Registered

    Insight Global (Philadelphia, PA)
    …. Skills and Requirements Previous HEDIS review experience Active RN License or Active LPN License 2-3 years of clinical ... make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using ...local providers Previous HEDIS review experience Active RN License or Active LPN License 2-3… more
    Insight Global (10/01/24)
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  • HEDIS Registered Nurse

    Insight Global (Philadelphia, PA)
    …Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Active RN License or Active LPN License 2-3 years ... Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract...of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer… more
    Insight Global (10/01/24)
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  • HEDIS LPN

    Actalent (Pembroke Pines, FL)
    …with utilization or appeals review preferred. Knowledge of InterQual criteria preferred. + License/Certification: RN or LPN license. Skills: HEDIS , RN , ... LPN Top Skills Details: HEDIS Skills & Qualifications: LPN or RN Associates' Degree EMR experience (QSHR preferred) HEDIS knowledge, medical… more
    Actalent (11/20/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    HEDIS Reviewer 990 Stewart Ave, Garden City, NY...+ Other duties and responsibilities, as assigned Certifications/Licensure: + Licensed LPN / Coder / RN ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
    Centers Plan for Healthy Living (11/06/24)
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  • HEDIS Nurse (Remote)

    Actalent (Austin, TX)
    Actalent is currently hiring for Remote HEDIS Nurses ( RN / LPN )! Job Description: + Lead data collection and abstraction for company quality measures, ... including HEDIS , CMS, CHIPRA and/or any other custom measurements. +...of Microsoft Applications, including Excel and Access. + Compact RN or LVN/ LPN License Why Actalent? +… more
    Actalent (11/22/24)
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  • HEDIS Clinical Trainer

    Centene Corporation (Tallahassee, FL)
    …Skills:** + 3+ years of HEDIS experience + 2+ years as a LPN or RN + Prior training experience **Education/Experience:** Associate's degree or equivalent ... will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to...experience in nursing, managed care, training, or related field. LPN or RN license required. Pay Range:… more
    Centene Corporation (10/24/24)
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  • Remote - HEDIS Nurse

    Actalent (Columbia, SC)
    ….Qualification : + 1+ years of Performing HEDIS expereince Mandatory + Having Compact RN OR LPN license is Mandatory If you are Interested , Kindly give a ... Immediate hiring for "Remote HEDIS Nurses" in US ! Job Description: +...data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. +… more
    Actalent (11/24/24)
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  • HEDIS Nurse - REMOTE

    Actalent (Austin, TX)
    HEDIS abstraction/overread experience * Advanced knowledge of MS Excel. * Current RN or LPN license Work Environment This position will be fully remote. ... * Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare… more
    Actalent (11/09/24)
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  • Registered Nurse - Outpatient…

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Registered Nurse is assigned to a designated...the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with the ... the Nurse Manager for the area. The Registered Nurse understands professional practice standards and...support of a LPN and/or HT in the delivery of care for… more
    Veterans Affairs, Veterans Health Administration (10/26/24)
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  • Nurse Manager ( RN or LPN )

    Sea Mar Community Health Centers (Tacoma, WA)
    …up to 10 pounds and occasionally lift and/or move up to 50 pounds. Requirements: + Registered Nurse , BSN, ADN and licensed to practice nursing in the State ... Nurse Manager - Posting #25738 Salary Rate: $74,958.09 ( LPN ) - $92,444.35 ( RN ) Position Summary: Full-time...of Washington highly preferred or + LPN and licensed to practice nursing in… more
    Sea Mar Community Health Centers (10/30/24)
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  • Nurse Manager ( RN or LPN )

    Sea Mar Community Health Centers (Puyallup, WA)
    …up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the State of Washington. + ... Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN Annual Salary: $74,958.09 Position...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (11/13/24)
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  • LPN or RN Nurse Case Manager…

    The Cigna Group (Bloomfield, CT)
    …requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. If you will be… more
    The Cigna Group (10/10/24)
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  • Nurse Manager ( RN or LPN )

    Sea Mar Community Health Centers (Yelm, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN ) - Posting #27117 Hourly Rate: $36.04 ... from other health care facilities. Candidates in this position must be an RN or LPN . Responsibilities include: + Manage and evaluate approximately 10-12… more
    Sea Mar Community Health Centers (11/16/24)
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  • LPN /LVN Case Management Analyst- Work…

    The Cigna Group (Birmingham, AL)
    …reside in Jefferson, Tuscalossa, Walker or Fayette County **Experience:** * Current Licensure as a Registered Nurse or LVN/ LPN , in the state of Alabama in ... utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a plus **Job Related Skills:**… more
    The Cigna Group (10/07/24)
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  • Patient Care Advocate

    Centene Corporation (Harrisburg, PA)
    …Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. ** LPN OR RN STRONGLY PREFERRED.** Pay Range: ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN more
    Centene Corporation (11/23/24)
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  • Quality Program Strategist II

    Centene Corporation (Springfield, IL)
    …2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse , Licensed Vocational ... market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists… more
    Centene Corporation (11/23/24)
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  • Quality Practice Advisor

    Centene Corporation (Jefferson City, MO)
    …ideal candidate will be located in Jackson County, Kansas City, MO area, holding an RN or LPN license and experience working with healthcare providers on closing ... and risk adjustment (coding). **License/Certification:** **One of the following required:** CCS, LPN , LCSW, LMHC, LMSW, LMFT, LVN, RN , APRN, HCQM, CHP,… more
    Centene Corporation (09/24/24)
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  • Medical Assistant Tri OBGYN

    Catholic Health (West Seneca, NY)
    …Hours: Monday - Friday Summary: The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… more
    Catholic Health (11/13/24)
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  • Medical Assistant TRI GI Center Rd WS

    Catholic Health (West Seneca, NY)
    …Days Hours: 8:30am-4:30pm Summary: The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , ... office procedures is preferred but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) REQNUMBER: 31216 more
    Catholic Health (09/04/24)
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  • Quality and Risk Adjustment - Provider Clinical…

    Premera Blue Cross (Mountlake Terrace, WA)
    …support + RHIA, RHIT, CRC, or CPC certified coder or auditor (CMAS) (Preferred) + LPN or RN (Preferred) **What we offer** + Medical, vision and dental coverage ... is available for documentation and coding best practices for HEDIS and risk adjustment. This role will have a...and subject matter support. + Clearly, communicate nationally established HEDIS measures and be able to speak to the… more
    Premera Blue Cross (11/13/24)
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